Utah Telemedicine Policy, Simplified.

Healthcare legislation is complicated. Let’s clarify a few things.

We strive to keep this information updated and current. It is intended to be an informative guide, and not a comprehensive legal resource. Always consult with your local team of experts and administrators.

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Utah Telemedicine Policy

updated October 2019

Utah Telemedicine Policy

Utah is making strides towards telemedicine success! In 2015, the Utah Education and Telehealth Network was granted $2,000,000 in funding, and has since been working tirelessly on expanding access to broadband internet and telehealth technology. Utah is also part of the Interstate Medical Licensure Compact, which helps out-of-state providers more easily deliver virtual care to Utah patients.

However, there’s still room for growth! Utah has yet to pass a telehealth parity law, which would require private insurers to cover telemedicine services. Read on to find out more about telemedicine policy in Utah.

State Policy Overview

Medicaid
Private Payers
Parity

Additional state telemedicine information

  • Parity Laws

    Utah currently has no parity law for telemedicine, so reimbursement is not guaranteed through private payers–only through Medicaid. However, many private insurance companies will still cover telemedicine under certain policies. Check with your payers! 

  • Medicaid

    Utah Medicaid defines telemedicine as two-way, interactive communication between a healthcare provider and patient. This means the program will cover live video telehealth, but not store-and-forward solutions. The program, unlike programs in many other states, does not restrict coverage to a specific list of medical conditions. Instead, Utah Medicaid covers “medically appropriate services delivered via telemedicine.” cchpca.org

  • Type of Telemedicine Covered

    Utah Medicaid defines telemedicine as “two-way, real time interactive communication.” This covers live video, but excludes store-and-forward reimbursement. Medicaid additionally covers remote patient monitoring, but only for outpatient long-term cardiac monitoring.

  • Covered Health Services

    Utah Medicaid will reimburse for “medically appropriate” health services delivered over live video. This includes:

    • Consultation services
    • Evaluation and management services
    • Mental health services
    • Substance use disorder services
    • Outpatient long-term cardiac monitoring

    The Medicaid program is required to reimburse for psychiatric consults completed via telemedicine at the same rate the Medicaid program reimburses for other health care services.

  • Eligible Healthcare Providers

    Utah is one of the lucky states that do not limit telemedicine to specific healthcare provider types. 

  • Online Prescriptions

    Utah law requires healthcare providers to satisfy a list of requirements before prescribing medication through a telemedicine visit, including making the patient’s medical record available.  Also, providers shouldn’t write prescriptions based only on an internet questionnaire.

  • Informed Patient Consent

    No telemedicine-specific consent requirements have been written into law. However, we always recommend obtaining consent before starting a telemedicine visit. 

    Learn more.

  • Cross-State Telemedicine Licensing

    Utah has joined the Interstate Medical Licensure Compact! This compact makes it easier for out-of-state telemedicine providers to practice in Utah.

  • Restrictions on Locations

    Utah state law and Medicaid have no restrictions on patient location. That’s great news for telehealth providers!

  • Reimbursement Rates

    Utah Medicaid will reimburse the lesser of the amount billed or the rate on the fee schedule. Because there is no parity law, private payers are not required to cover telemedicine services. However, many companies are seeing the benefits of telemedicine and including this in their policy coverage.

  • Helpful Resources

    We used the sites below to gather information for this guide. Check them out for more details on your state’s policy!

Additional resources to help you get started.

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